Midwest Center for Womens Health S.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MIDWEST CENTER FOR WOMENS HEALTH S.C.

Practice address

10222 74TH Street
Suite 200
Kenosha, WI 53142-6800

Phone

(262) 697-9200

Fax

(262) 697-9206

NPI assigned

Sep 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Leonard S Fagon, MD

Title

President

Phone

(262) 697-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1598863573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10222 74TH STREET",
            "address_2": "SUITE 200",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531426800",
            "telephone_number": "262-697-9200",
            "fax_number": "262-697-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 74TH STREET",
            "address_2": "SUITE 200",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531426800",
            "telephone_number": "262-697-9200",
            "fax_number": "262-697-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CENTER FOR WOMENS HEALTH S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "FAGON",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-697-9200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21289900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Lyn Midlock
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• Midway Manor Corp.
• Midwest Alignment Center,LLC
• Midwest Center for Women'S Health
• Midwest Family Support Services
• Midwest Kidney Care, LLC
• Midwest Physicians Anesthesia Service, SC
• Midwest Sports and Interventional Spine SC
• Julie E Miesfeld, PT

• Obstetrics & Gynecology Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Obstetrics & Gynecology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.